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AVERA BREAST CENTER
NPI 1467695767
Clinic/Center - Medical Specialty in Sioux Falls, SD

Active since April 16, 2009
1000 E 23RD ST, SUITE 330, SIOUX FALLS, SD 57105(605) 322-7465(605) 322-1789 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Avera Breast Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERA BREAST CENTER (NPI 1467695767) is a healthcare organization registered as a medical specialty in Sioux Falls, South Dakota and active in the NPI registry since April 2009. The organization maintains a secondary practice location in Sioux Falls and lists David Flicek, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1467695767
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameAVERA MCKENNAN
Location Address1000 E 23RD ST, SUITE 330Sioux Falls, SD 57105-2113
Mailing AddressPo Box 5045, Attn: Pt Finan ServicesSioux Falls, SD 57117-5045 · (605) 322-6400 · Fax (605) 322-6499
Phone(605) 322-7465
Fax(605) 322-1789
Organization SubpartNo
Authorized OfficialDavid FlicekPresident/ceo · (605) 322-7916
Enumeration DateApril 16, 2009
Last NPPES UpdateJanuary 8, 2021
NPPES CertifiedJanuary 8, 2021
✔ NPI 1467695767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in SD · 10563
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

1000 E 23RD ST, Sioux Falls, SD 57105
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Other Names 1

Doing Business AsAvera Breast Center

Secondary Practice Location 1

Location 12100 S Marion Rd Ste 305Sioux Falls, SD 57106-3650 · Phone (605) 322-1567

Other Identifiers 5

Medicaid1467695767IA
Other9286132Dakotacare
Medicaid10025807100NE
Medicaid1467695767MN
Medicaid7290280SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES H SIMON MD
Radiology (Radiation Oncology)
1000 E 23RD ST, STE 100
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-1625
DR. TRICIA LAWRENCE MERRIGAN M.D.
Surgery
1000 E 23RD ST, STE 360
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-3950
SALLY A WILLIAMS DO
Family Medicine
1000 E 23RD ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-3241
KRISTEN DAWN HURLEY CNP
Nurse Practitioner (Family)
1000 E 23RD ST, STE. 200
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-3035
MRS. ELIZABETH ANN O'NEILL MS ARNP-BC
Nurse Practitioner
1000 E 23RD ST, SUITE #230
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-7334
LAURA HOFER
Physician Assistant
1000 E 23RD ST, 230
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-6900
DR. CASEY BENJAMIN WILLIAMS PHARM.D., BCOP
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1000 E 23RD ST, SUITE 200
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-3588
JULIANN MARIE REILAND MD FACS
Surgery
1000 E 23RD ST, STE 300
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-3950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avera Mckennan's NPI number?

The NPI number for Avera Mckennan is 1467695767. It was assigned to this organization in the NPPES registry on April 16, 2009. The provider is doing business as Avera Breast Center.

Where is Avera Mckennan located?

Avera Mckennan is located at 1000 E 23rd St Suite 330, Sioux Falls, SD 57105. The listed phone number is (605) 322-7465.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

What insurance does Avera Mckennan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 1 other insurer list Avera Mckennan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on January 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.